Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $398.11 / $6,606.93	Facility		$229.09	$398.11	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $446.68	Professional		$107.15	$165.96	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $457.09	Professional		$147.91	$263.03	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $467.74	Professional		$194.98	$295.12	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $213.80 / $436.52	Facility		$117.49	$213.80	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $446.68	Professional		$173.78	$275.42	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $323.59 / $363.08	Facility		$223.87	$323.59	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $218.78 / $389.05	Facility		$123.03	$218.78	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $295.12 / $446.68	Professional		$125.89	$295.12	$446.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,754.23	Facility		$1,737.80	$2,187.76	$2,754.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $446.68	Professional		$213.80	$316.23	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $426.58	Professional		$169.82	$269.15	$426.58